Organization Active NPI

Functional Living Solutions Occupational Therapy, LLC

  • Occupational Therapist
  • Monroe, MI
National Provider Identifier
1972421204
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FUNCTIONAL LIVING SOLUTIONS OCCUPATIONAL THERAPY, LLC
Practice address
355 S Telegraph Rd
Monroe, MI 48161-5528
Phone
(734) 735-0633
NPI assigned
Jul 6, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Breanne Shampaine, OTRLNPI 1073014346
Title
Owner
Phone
(734) 735-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

355 S Telegraph Rd
Monroe, MI 48161-5528

Mailing address

9850 Steffas Rd
Maybee, MI 48159-9627
Phone (734) 735-0633

National Provider Directory

National Provider Directory

Locations

355 S Telegraph Rd
Monroe, MI 48161
Phone (734) 735-0633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1972421204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 STEFFAS RD",
            "city": "MAYBEE",
            "state": "MI",
            "postal_code": "481599627",
            "telephone_number": "734-735-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615528",
            "telephone_number": "734-735-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL LIVING SOLUTIONS OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "SHAMPAINE",
        "authorized_official_first_name": "BREANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-735-0633",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.